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How to Increase Compliance with DoD PEC Formulary

How to Increase Compliance with DoD PEC Formulary. Major Robin J. Johnson Diagnostics & Therapeutics Flt/CC P&T Chairperson Ellsworth AFB, South Dakota. Introduction . Strategy Provider “Buy-In” Non-Formulary Request Process Physician Champion Stand firm. Strategy.

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How to Increase Compliance with DoD PEC Formulary

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  1. How to Increase Compliance with DoD PEC Formulary Major Robin J. Johnson Diagnostics & Therapeutics Flt/CC P&T Chairperson Ellsworth AFB, South Dakota

  2. Introduction • Strategy • Provider “Buy-In” • Non-Formulary Request Process • Physician Champion • Stand firm

  3. Strategy • Educate MTF Providers • New PCM Pharmacy Orientation letter • IAW AFI 44-102, section 10.6.2, “PCMs…use formulary drugs wherever possible…DoD formulary 1st line agents at all MTFs” • Costs/comments on CHCS • “choose Aciphex or Prilosec 1st line, costs less”

  4. Strategy • Educate MTF Providers (Cont) • Invite PCMs to P&T meetings as guests • Explain all aspects of meeting; why we do what we do at these meetings • New Item Requests welcome • Educate on cost of meds (also in CHCS) • Explain ramifications of adding med to formulary • Impact of Civilian Rxs

  5. Strategy • Educate Civilian Providers & Patients • MTF Website available (update issues) • Paper formularies hand carried by patients • Paper formularies faxed by request • Absolutely do NOT allow a medication to stay on or go onto the MTF formulary that is not consistent with DoD BCF

  6. Strategy • Good relationship with Providers • Invite them to P&T as guests; explain process • Encourage them to use New Drug Request for consideration of MTF formulary addition • Communicate, communicate, communicate • Explain decisions made; give options and alternatives

  7. Strategy • Good relationship with Providers (cont) • Make every effort to be available for the PCMs and try to work with their needs • It’s not just a business, it’s caring about the patient

  8. Provider Buy-In • Understanding the P&T Processes/Budget • More willing to follow the formulary • Encourage patients to try formulary items, not newest, most advertised med (Woman’s Day, Reader’s Digest, TV, etc.) • Communication again…make yourself available for patients and providers • Teamwork is key…we’re all one team • If they think you’re on their side…they’ll play ball

  9. Non-Formulary Requests • Process in place • MDG form 28, Patient Specific Special Purchase Request MUST be submitted • IAW MDG Policy meds may be ordered for patients: • Enrolled to the MTF - CHCS Patient Enrollment History (PENR) status • Must show medical necessity • NO OTC meds

  10. Non-Formulary Requests • Review Process by Pharmacist • Ensure criteria are met • 1-week turn around time • Signed lastly by SGH after patient has received the medication • Denials to requests are explained to the PCM with suggested options of formulary items • If PCM disagrees with denial, SGH is final say

  11. Physician Champion • SGH is the Physician Champion • Make sure he’s on-board with Pharmacy • Co-chairs P&T with Pharmacist and fully understands our processes and budget concerns • Pharmacist is NOT just the recorder • He has my back on decisions • I respect his authority if he overrides a denial decision • Good working relationship

  12. Stand Firm • It’s your budget; you have to answer to spending too much • DoD PEC mandated changes: • Voting is NOT an option at P&T • Remove the drug – tell them at P&T • Add the drug – tell them at P&T • Vote ONLY on items that you may carry

  13. Summary • Strategy • Provider “buy-in” • Nonformulary Request Process • Physician champion • Stand firm

  14. Maj. Robin J. Johnson D&T Flight/CC Ellsworth AFB, South Dakota Robin.johnson@ellsworth.af.mil DSN: 675-3252 Comm: 605-385-3252

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